Nursing homes and other healthcare facilities must ensure that residents are free from involuntary seclusion. This includes any form of seclusion that is used for staff convenience, as a display of power, or to discipline a resident. Facilities must involve the resident/representative in care planning, including the decision for placement in a secured/locked area, and provide immediate access and visitation to family, representatives, and other individuals. If a resident is placed in a secured/locked area, the facility must ensure the resident meets the criteria for placement and is not placed for staff convenience or discipline. If a resident is placed on transmission-based precautions due to infection, the facility must ensure that the precautions are the least restrictive possible, and the resident's record must contain the rationale for the selected precautions. Facilities must also have policies in place related to involuntary seclusion and must investigate any allegations of involuntary seclusion. This includes interviewing the alleged victim/resident representative, witnesses, and observing the physical environment. Nursing homes and healthcare facilities must take these actions to ensure residents are free from involuntary seclusion and are treated with respect and dignity.

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